1. Home
  2. Directory
  3. California
  4. San Diego
  5. Otolaryngology
  6. NPI Profile

LA JOLLA FACIAL PLASTIC SURGERY INC
NPI 1033587589
Otolaryngology - Otolaryngology/Facial Plastic Surgery in San Diego, CA

Active since September 14, 2015
4765 CARMEL MOUNTAIN RD, SUITE 103, SAN DIEGO, CA 92130(858) 461-0383(858) 430-2772 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2017, Nov 13, 2015 (2 updates tracked since 2015).

About La Jolla Facial Plastic Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA FACIAL PLASTIC SURGERY INC (NPI 1033587589) is a healthcare organization registered as an otolaryngology/facial plastic surgery in San Diego, California and active in the NPI registry since September 2015. The organization lists Victor Chung, President/director, as its authorized official.

NPPES Registry Identity

NPI1033587589
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameLA JOLLA FACIAL PLASTIC SURGERY INC
Location Address4765 CARMEL MOUNTAIN RD, SUITE 103San Diego, CA 92130-6657
Mailing Address4765 Carmel Mountain Rd, Suite 103San Diego, CA 92130-6657 · (858) 461-0383 · Fax (858) 430-2772
Phone(858) 461-0383
Fax(858) 430-2772
Organization SubpartNo
Authorized OfficialVictor ChungPresident/director · (858) 461-0383
Enumeration DateSeptember 14, 2015
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1033587589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · A136426
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
4765 CARMEL MOUNTAIN RD, San Diego, CA 92130
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Jolla Facial Plastic Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Jolla Facial Plastic Surgery Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Victor Chung, M.D.
Otolaryngology
NPI 1154551042
4765 CARMEL MOUNTAIN RD STE 103
San Diego, CA 92130
(858) 461-0383
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Jolla Facial Plastic Surgery Inc's NPI number?

The NPI number for La Jolla Facial Plastic Surgery Inc is 1033587589. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is La Jolla Facial Plastic Surgery Inc located?

La Jolla Facial Plastic Surgery Inc is located at 4765 Carmel Mountain Rd Suite 103, San Diego, CA 92130. The listed phone number is (858) 461-0383.

What is La Jolla Facial Plastic Surgery Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is La Jolla Facial Plastic Surgery Inc enrolled in Medicare?

Yes. La Jolla Facial Plastic Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Jolla Facial Plastic Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to La Jolla Facial Plastic Surgery Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Jolla Facial Plastic Surgery Inc was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.